Goodrow, Tina

Goodrow, Tina is an individual health care provider with primary practice located at 5664 Sw 60Th Ave , Ocala FL 34474-5677. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Goodrow, Tina can be contacted via phone (813) 666-2714.

Contact Information

Primary practice address
5664 Sw 60Th Ave Ocala FL 34474-5677
Fax:
Website:

Profile Details

NPI number 1649616889
LBN Legal business name Goodrow, Tina
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated Jan 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649616889 NPPES
Florida MEDICAID 100157600

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